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Feculent meningitis: polymicrobial meningitis in colorectal surgery

J M García-Lechuz1, S Hernangómez, R San Juan

  • 1Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain. lechuz@efd.net

Diagnostic Microbiology and Infectious Disease
|December 8, 2000
PubMed

Insights

Polymicrobial anaerobic meningitis is rare, often stemming from head/neck infections. This study details a new case following colorectal surgery and radiotherapy, adding to the scant literature on this condition.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Microbiology

Background:

  • Polymicrobial anaerobic meningitis is an uncommon condition, typically arising from adjacent infections in the head or neck.
  • Meningitis caused by anaerobic bacteria, particularly due to a meningo-intestinal fistula, is exceedingly rare, with limited documented cases.

Observation:

  • This report presents a novel case of polymicrobial anaerobic meningitis in an adult patient.
  • The patient's meningitis developed subsequent to undergoing colorectal surgery and radiotherapy.

Findings:

  • The case contributes to the understanding of anaerobic meningitis etiology, specifically its occurrence post-colorectal procedures.
  • A review of the two previously reported cases of anaerobic meningitis secondary to meningo-intestinal fistula is included.

Implications:

  • This case highlights the importance of considering anaerobic meningitis in patients with relevant surgical or radiation history.
  • Further research into the pathogenesis and management of anaerobic meningitis, especially in post-surgical contexts, is warranted.

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